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May 1988

The Many Faces of Surgery: Presidential Address

Author Affiliations

From the Department of Surgery, Harvard Medical School, Boston, and Division of Plastic Surgery, The Children's Hospital and Brigham and Women's Hospital, Boston.

Arch Surg. 1988;123(5):543-544. doi:10.1001/archsurg.1988.01400290025002

As a plastic surgeon addressing a predominantly general surgical audience, I have selected a topic that I hope will be of interest and will add to an understanding of some biological and psychological problems dealt with by plastic surgeons.

One hears a great deal about fragmentation among the specialties, especially in areas of the head and neck and of the extremities. However, instead of wasting words deploring interdisciplinary jurisdictional disputes, I will note optimistically that at least in one activity, namely, craniofacial surgery, several specialties can cooperate in an enterprise leading to a product far greater than the sum of its parts.

Craniofacial surgery, as the name implies, deals simultaneously with the cranium and the face. The originator of this specialty, Paul Tessier of Paris, dominates the field just as Harvy Cushing did when neurosurgery was in its infancy. Tessier, a plastic surgeon, concentrated in his early years on traumatic

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